| NPI | 1538386081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC2091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC13814) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-09-10 |